NPIMap

Organization Active NPI

Saint Joseph Hospital, Inc

Doing business as Saint Joseph Hospital

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1740220458
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAINT JOSEPH HOSPITAL, INC
Doing business as
Saint Joseph Hospital
Sr Joanna Bruner Family Medical Center
Practice address
1960 N Ogden St Ste 460
Denver, CO 80218-3670
Phone
(303) 318-2500
Fax
(303) 318-2575
NPI assigned
Jun 8, 2006
Last updated
Jun 11, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jameson Smith
Title
President & Ceo
Phone
(303) 812-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1960 N Ogden St Ste 460
Denver, CO 80218-3670

Mailing address

500 Eldorado Blvd
BLDG 6 Ste 6250
Broomfield, CO 80021
Phone (855) 851-4127

Other practice location 1

500 Eldorado Blvd
Bldg 6 Ste 6250
Broomfield, CO 80021
Phone (855) 851-4127

Other identifiers 1

IdentifierTypeStateIssuer
04430088MedicaidCO

Other names 2

  • Saint Joseph Hospital Doing business as
  • Sr Joanna Bruner Family Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040102000258 CO Part B Supplier - Clinic/Group Practice 6204735970 Receives reassigned benefits from 119 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Denver, CO

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Sisters of Charity of Leavenworth Health System Inc

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1740220458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELDORADO BLVD",
            "address_2": "BLDG 6 STE 6250",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "855-851-4127",
            "fax_number": "303-272-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 N OGDEN ST STE 460",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183670",
            "telephone_number": "303-318-2500",
            "fax_number": "303-318-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Eldorado Blvd",
            "address_2": "Bldg 6 Ste 6250",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "80021",
            "country_code": "US",
            "telephone_number": "855-851-4127",
            "fax_number": "303-272-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAINT JOSEPH HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMESON",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "303-812-4940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04430088",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Joseph Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sr Joanna Bruner Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.